What are the tests for endometritis?
Experts from the gynecological hospital introduce: Endometritis is divided into acute and chronic types. The main cause of acute endometritis is abortion, puerperal infection, placement of contraceptives in the uterine cavity, cervical dilation, diagnostic curettage or physical treatments such as cervical cauterization, laser, microwave, etc. Ascending infections caused by sexually transmitted diseases can also lead to this condition. In addition, endometrial polyps, submucosal uterine fibroids, etc., often cause endometritis. The causes of chronic endometritis are basically similar to the above. The lesions are limited to the mucosa and underlying tissues within the cervical canal. The vaginal part of the cervix may be very smooth, with only purulent secretions blocking the cervical os. Sometimes there is hyperplasia of the mucosa, and the cervical os appears red and congested. Infections of endometritis are mainly caused by sexually transmitted diseases, but sometimes there may be no obvious inducement, mainly bacterial infections. The types of bacteria include staphylococcus, E. coli, streptococcus, anaerobic bacteria, in addition to gonococci. In addition, there are infections caused by pathogens such as mycoplasma.
Since endometritis can have a certain impact on women's health, it is necessary to conduct examinations for endometritis. So, what are the tests for endometritis?
The examination of endometritis includes the following aspects:
[1] Symptom examination. Judging based on the symptoms of endometritis often shows:
◆ Menorrhagia: Regular menstrual periods but doubled blood flow, significantly prolonged bleeding period, irregular bleeding is less common.
◆ Dysmenorrhea: More common in women who have not given birth, but severe dysmenorrhea is rare, possibly due to excessive thickening of the endometrium, hindering normal tissue degeneration and necrosis, stimulating excessive spastic contraction of the uterus.
◆ Significant increase in leukorrhea, which can be purulent, smelly, or bloody.
◆ Increase in vaginal discharge, abdominal pain, lumbago, feeling of heaviness and other symptoms.
[2] Physical signs. Judging based on the patient's physical changes:
Pain on palpation in the lower abdomen. Speculum examination reveals a large amount of purulent or foul-smelling bloody secretions overflowing from the cervical os. Bimanual examination shows cervical lift tenderness. The uterus is enlarged due to congestion and edema, soft, with obvious tenderness. Laboratory tests show an increase in total white blood cells and neutrophils.
[3] Pathological examination.
◆ Leukorrhea examination: Can rule out whether vaginitis is present, treatment time and effect depend on the sensitivity of your body to the medication.
◆ Blood profile: During acute endometritis, the total number of white blood cells and neutrophils in peripheral blood increases.
◆ Laboratory tests: Blood and uterine cavity secretion bacterial cultures and drug sensitivity tests can confirm the diagnosis and provide reference for treatment medication.
◆ Ultrasound examination: Preliminary diagnosis of intrauterine status using ultrasound, combining clinical symptoms and test results to diagnose whether there is endometritis.
◆ Intra-body scanning examination: In cases without obvious symptoms, intra-body scanning examination is needed. Using a scanner to examine the patient can also simultaneously determine the treatment method and approach.
This article is excerpted from: Official Website of Changchun Tongji Gynecological Hospital Original Address: http://www.tjfk999.com/fukejiancha/201102221878.html For more information on gynecological diseases, please visit the official website of Changchun Tongji Gynecological Hospital.